Long-term Cases of Sinus Floor Elevation Using the Plate Shaped Bone Substitute PDF Download
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Author: Publisher: ISBN: Category : Languages : en Pages :
Book Description
Sinus floor elevation is often applied to the molar region of the atrophic maxilla to increase in bone mass between the alveolar crestand the sinus floor. Although autogenous bone graft is, so far, gold standard, limitations of donor site bone volume and post-operativemorbidity could be disadvantages. Thus, artificially synthesized bone substitutes, hydroxyapatite (HA) and tricalcium-phosphate(TCP), might be considerably useful materials compared to the autogenous bone. We have developed a novel technique of the sinus floor elevation using plate-shaped beta-TCP in order to perform surgery lessinvasively and to reduce the stress of patients. In this study, we evaluated the prognosis of this technique and the newly developedbiomaterials. Thirteen patients were recruited in this study. The diameter and thickness of plate-shaped beta-TCP were approximately 10 mm and2 mm, respectively. The bony windows were prepared on the lateral wall of the sinus and the sinus membrane was carefully removedand elevated. Then the TCP plate was inserted and supported with dental implants or micro-screws. Finally, bio- resorbablemembrane was placed to cover the bony window and to avoid soft tissue infiltration. The panolamic X-ray and the cone beam CT wastaken every year after the operations to evaluate the volume of newly formed bone, the implant stability, and the remodeling of TCPplates. This clinical research was approved by Ethics Committee, School of Dentistry, Iwate Medical University, and the patient'sconsent was also obtained. Thirteen operations of the sinus floor elevation with plate-shaped beta-TCPs have been performed since 2011. This study consistedof three men and ten women. The average age of all the patients was 53.3 years old. Four of those were staged approach and nine ofthose were simultaneous approach. Ten of 13 patients have had no complications concerning the abnormalities of the maxillary sinusfrom the postoperative to the present, and it passed well. In most cases, newly formed bone in the sinus was observed on X-rayphotos 6 month after the operation. The good stability of the dental implant, at the second stage surgery, was confirmed. TCP platesremained in the same position and achieved the secure space making for long time. Panoramic X-ray and X-ray CT analysesrevealed that TCP-plates were resorbed in 5 years post operation in most cases. There were two patients who complain ofuncomfortable feeling and TCP plates were removed surgically. One TCP plate was spontaneously excreted. In this clinical trial, a new bone formation was observed in the empty space between the TCP plate and the original sinus floor. TCP isa bone-conductive material and might have accelerated bone formation. Applying the newly developed technique with artificiallysynthesized bone substitutes could be a useful method to reduce patientsu2019 stress. This newly established sinus floor elevation maybring better long term prognosis.
Author: Publisher: ISBN: Category : Languages : en Pages :
Book Description
Sinus floor elevation is often applied to the molar region of the atrophic maxilla to increase in bone mass between the alveolar crestand the sinus floor. Although autogenous bone graft is, so far, gold standard, limitations of donor site bone volume and post-operativemorbidity could be disadvantages. Thus, artificially synthesized bone substitutes, hydroxyapatite (HA) and tricalcium-phosphate(TCP), might be considerably useful materials compared to the autogenous bone. We have developed a novel technique of the sinus floor elevation using plate-shaped beta-TCP in order to perform surgery lessinvasively and to reduce the stress of patients. In this study, we evaluated the prognosis of this technique and the newly developedbiomaterials. Thirteen patients were recruited in this study. The diameter and thickness of plate-shaped beta-TCP were approximately 10 mm and2 mm, respectively. The bony windows were prepared on the lateral wall of the sinus and the sinus membrane was carefully removedand elevated. Then the TCP plate was inserted and supported with dental implants or micro-screws. Finally, bio- resorbablemembrane was placed to cover the bony window and to avoid soft tissue infiltration. The panolamic X-ray and the cone beam CT wastaken every year after the operations to evaluate the volume of newly formed bone, the implant stability, and the remodeling of TCPplates. This clinical research was approved by Ethics Committee, School of Dentistry, Iwate Medical University, and the patient'sconsent was also obtained. Thirteen operations of the sinus floor elevation with plate-shaped beta-TCPs have been performed since 2011. This study consistedof three men and ten women. The average age of all the patients was 53.3 years old. Four of those were staged approach and nine ofthose were simultaneous approach. Ten of 13 patients have had no complications concerning the abnormalities of the maxillary sinusfrom the postoperative to the present, and it passed well. In most cases, newly formed bone in the sinus was observed on X-rayphotos 6 month after the operation. The good stability of the dental implant, at the second stage surgery, was confirmed. TCP platesremained in the same position and achieved the secure space making for long time. Panoramic X-ray and X-ray CT analysesrevealed that TCP-plates were resorbed in 5 years post operation in most cases. There were two patients who complain ofuncomfortable feeling and TCP plates were removed surgically. One TCP plate was spontaneously excreted. In this clinical trial, a new bone formation was observed in the empty space between the TCP plate and the original sinus floor. TCP isa bone-conductive material and might have accelerated bone formation. Applying the newly developed technique with artificiallysynthesized bone substitutes could be a useful method to reduce patientsu2019 stress. This newly established sinus floor elevation maybring better long term prognosis.
Author: Publisher: ISBN: Category : Languages : en Pages :
Book Description
Sinus floor elevation is often applied to the molar region of the atrophic maxilla to increase bone mass between the alveolar crest andthe sinus floor. Although autogenous bone graft is, so far, gold standard, limitations of donor site bone volume and post-operativemorbidity could be disadvantages. Thus, artificially synthesized bone substitutes, hydroxyapatite (HA) and tricalcium-phosphate(TCP), might be advantageous useful materials compared to the autogenous bone.We have developed a novel technique of the sinus floor elevation using plate-shaped beta-TCP . In this study, changes of graftedbone volume were quantitatively evaluated with cone-beam computed tomography (CBCT) and image analyzing software before and1, 2, and 5 years after the surgery. Ten cases were recruited in this study. The bony windows were prepared on the lateral wall of the sinus and the sinus membrane wascarefully removed and elevated. Subsequently, the TCP plate was inserted and supported with dental implants or micro-screws.Then, CBCT scan was performed to estimate temporal changes of the bone volume before surgery and at the time points of one, two,and five years after the surgery. Digital Imaging and Communication in Medicine (DICOM) files of CBCT were converted intoStereolithography (STL) files, using dedicated image analysis software for bone volume measurement and superimposing image datawith the best fit method. The difference of the image data representing the bone volume before and after the surgery was amalyzedthree-dimensionally, and the rate of change was calculated. This clinical research was approved by Ethics Committee, School ofDentistry, Iwate Medical University, and the patient's consent was also obtained. Ten cases of the sinus floor elevation with plate-shaped beta-TCPs have been performed since 2011. This study consisted of threemen and seven women. The average age of all the patients was 53.3 years old. Bone volume decreased slightly until 2 years after thesurgery and then increased again until 5 years after the surgery. There had no complications concerning the abnormalities of themaxillary sinus since the postoperative to the present, and it passed well. In most cases, newly formed bone in the sinus wasobserved on X-ray photos 6 month after the operation. The good stability of the dental implant, at the second stage surgery, wasconfirmed. TCP plates remained in the same position and achieved the secure space making for long time. Panoramic X-ray andX-ray CT analyses revealed that TCP-plates were resorbed in 5 years post operation in most cases. The results of our study demonstrated that it is possible to evaluate the change of bone volume of the sinus floor elevationquantitatively using the data of the STL form which converted DICOM. In this clinical trial, a new bone formation was observed in theempty space between the TCP plate and the original sinus floor. TCP is a bone-conductive material and might have accelerated boneformation. This newly established method for sinus floor elevation could bring better long-term prognosis.
Author: Ronald Younes Publisher: Springer ISBN: 3319114484 Category : Medical Languages : en Pages : 260
Book Description
Placement of endosseous implants in the posterior maxilla is often difficult because of a lack of supporting bone. Sinus augmentation procedures have therefore been extensively used for the treatment of the edentulous atrophic posterior maxilla prior to implant placement. This book describes in detail the most widely used sinus grafting techniques as well as some innovative variations, with full coverage of both lateral and crestal approaches. A key aim is to assist the practitioner in selecting the appropriate sinus grafting technique based on the evaluation of a number of parameters that are described in detail and codified in a simple and practical way. Up-to-date information is also provided on grafting materials and on potential complications of sinus augmentation procedures and their treatment.
Author: Fouad Khoury Publisher: Quintessenz Verlag ISBN: 3868675914 Category : Medical Languages : en Pages : 1395
Book Description
With contributions from: R. Gruber, Th. Hanser, Ph. Keeve, Ch. Khoury, J. Neugebauer, J. E. Zöller Bone and Soft Tissue Augmentation in Implantology addresses useful methods of bone grafting procedures in implant treatment based on current biologic principles and constitutes a unique reference in this field. The book describes, in over 760 pages and 2837 mostly color illustrations, the different possibilities available to augment the bone volume in width and height. The information presented includes not only the underlying scientific concepts of the different augmentation techniques with autogenous bone, but also the associated soft tissue management, from safe approaches to different possibilities for soft tissue augmentation and papilla reconstruction techniques. The book provides surgeons with a basic understanding of the biologic response to bone grafting procedures. Experienced implantologists will benefit from the in-depth background information, details of high-level surgical techniques, and scientific results, which will enable them to optimize their surgical procedures. Each chapter offers a wealth of information on the specific topic covered, with much attention given to the scientific concepts behind each one. Extensive case reports with step-by-step documentation allow readers to gain an impression of what is possible today in the 3D reconstruction procedures of the alveolar crest. Important criteria for success are presented as well as possible complications and their treatment. Bone and Soft Tissue Augmentation in Implantology is a must-read for every implantologist, oral and maxillofacial surgeon, and any dentist interested in surgery.
Author: Krishnamurthy Bonanthaya Publisher: Springer Nature ISBN: 9811513465 Category : Face Languages : en Pages : 1965
Book Description
This is an open access book with CC BY 4.0 license. This comprehensive open access textbook provides a comprehensive coverage of principles and practice of oral and maxillofacial surgery. With a range of topics starting from routine dentoalveolar surgery to advanced and complex surgical procedures, this volume is a meaningful combination of text and illustrations including clinical photos, radiographs, and videos. It provides guidance on evidence-based practices in context to existing protocols, guidelines and recommendations to help readers deal with most clinical scenarios in their daily surgical work. This multidisciplinary textbook is meant for postgraduate trainees, young practicing oral surgeons and experienced clinicians, as well as those preparing for university and board certification exams. It also aids in decision-making, the implementation of treatment plans and the management of complications that may arise. This book is an initiative of Association of Oral and Maxillofacial Surgeons of India (AOMSI) to its commitment to academic medicine. As part of this commitment, this textbook is in open access to help ensure widest possible dissemination to readers across the world. ; Open access Unique presentation with contents divided into color-coded core competency gradations Covers all aspects of oral and maxillofacial surgery Supplemented with videos of all commonly carried out procedures as operative video Every chapter or topic concludes with "future perspective" and addresses cutting edge advances in each area Every topic has a pull out box that provides the most relevant systematic reviews/ key articles to every topic.
Author: Iulian Vasile Antoniac Publisher: Springer ISBN: 9783319124599 Category : Technology & Engineering Languages : en Pages : 0
Book Description
This handbook describes several current trends in the development of bioceramics and biocomposites for clinical use in the repair, remodelling, and regeneration of bone tissue. Comprehensive coverage of these materials allows fundamental aspects of the science and engineering to be seen in close relation to the clinical performance of dental and orthopaedic implants. Bioceramics and biocomposites appear to be the most dynamic area of materials development for both tissue engineering and implantable medical devices. Almost all medical specialties will continue to benefit from these developments, but especially dentistry and orthopaedics. In this Handbook, leading researchers describe the use of bionanomaterials to create new functionalities when interfaced with biological molecules or structures. Also described are technologies for bioceramics and biocomposites processing in order to fabricate medical devices for clinical use. Another important section of the book is dedicated to tissue regeneration with development of new matrices. A targeted or personalized treatment device reduces drug consumption and treatment expenses, resulting in benefits to the patient and cost reductions for public health systems. This authoritative reference on the state-of-the-art in the development and use of bioceramics and biocomposites can also serve as the basis of instructional course lectures for audiences ranging from advanced undergraduate students to post-graduates in materials science and engineering and biomedical engineering.
Author: Gérard M. Scortecci Publisher: Springer ISBN: 3319448730 Category : Medical Languages : en Pages : 398
Book Description
This manual will help oral implantologists to understand the principles that underlie the use of basal implants as a means to provide simple solutions to complex and highly demanding clinical situations without the need for prior bone grafting. It will also serve as a richly illustrated practical guide to application of the technique. The book is in three parts, the first of which discusses basic principles and related themes, including osteogenesis, osseointegration, cortical anchorage stability, biomechanics, surgical techniques, and basal implant prosthodontics. Step-by-step guidance is then offered on the application of these principles, focusing on operating techniques, 3D treatment planning, transitional and final screw-secured prostheses, and postoperative follow-up. The third part of the book addresses a wide range of clinical situations that can be treated by basal implantology, with particular attention to the treatment of high, thin alveolar ridges and the atrophic maxilla and mandible and to the correction of previous implant failures, as well as complications and postimplantation neuropathies.
Author: Douglas Deporter Publisher: Quintessence Publishing (IL) ISBN: 9780867157857 Category : Dental implants Languages : en Pages : 0
Book Description
Research has shown that short implants are not only a viable option but oftentimes a superior one that carries fewer risks for the patient and dentist, especially in resorbed jaw sites. As clinical trials continue to underscore the safety and efficacy of short implants, more dentists are considering their use with real interest, and this book provides the information clinicians need to incorporate short implants into their own practice. The book reviews the clinical effectiveness of short implants and then describes treatment protocols for the various types of short implants and their placement in different areas of the mouth. Case presentations demonstrate the recommended techniques and showcase the results.
Author: Ilser Turkyilmaz Publisher: BoD – Books on Demand ISBN: 9535117416 Category : Medical Languages : en Pages : 278
Book Description
Implant dentistry has changed and enhanced significantly since the introduction of osseointegration concept with dental implants. Because the benefits of therapy became apparent, implant treatment earned a widespread acceptance. Therefore, the need for dental implants has caused a rapid expansion of the market worldwide. Dental implantology continues to excel with the developments of new surgical and prosthodontic techniques, and armamentarium. The purpose of this book named Current Concepts in Dental Implantology is to present a novel resource for dentists who want to replace missing teeth with dental implants. It is a carefully organized book, which blends basic science, clinical experience, and current and future concepts. This book includes ten chapters and our aim is to provide a valuable source for dental students, post-graduate residents and clinicians who want to know more about dental implants.
Author: Stefan Lundgren (D.D.S.) Publisher: Quintessence Publishing (IL) ISBN: 9781850971573 Category : Bone regeneration Languages : en Pages : 0
Book Description
This book includes didactic step-by-step presentations of different techniques for augmentation in all kinds of challenging bone deficiency situations and is intended for use prior to or in conjunction with endosseous implant placement. Reconstruction of severely atrophic edentulous jaws, posttrauma treatment in the anterior maxilla, and augmentation of the posterior maxilla and mandible are some of the topics covered. Clinical and experimental results of close follow-up of extensive patient groups are presented, as the book shows how careful monitoring with controlled incremental changes of the surgical protocol has led to development of new surgical methods. More than 20 scientific papers justify the methods presented in the book, representing more than 15 years of experience in reconstruction of the alveolar process.
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Author: Ronald Younes
Author: Fouad Khoury
Author: Krishnamurthy Bonanthaya
Author: Iulian Vasile Antoniac
Author: Gérard M. Scortecci
Author: Douglas Deporter
Author: Ilser Turkyilmaz
Author: Stefan Lundgren (D.D.S.)